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Management and Administration > Regulations > Flashcards

Regulations Flashcards

1
Q

Fair Labor Standards Act (FLSA)

A

wages & overtime

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2
Q

Immigration and Nationality Act

A

aliens authorized to work in the U.S. under certain nonimmigrant visas

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3
Q

Occupational Safety and Health Act (OSH Act)

A

regulates the safety and health conditions

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4
Q

Employee Retirement Income Security Act (ERISA)

A

reporting requirements for those ethically and legally responsible and associated with pension and welfare benefit plans

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5
Q

Comprehensive Omnibus Budget Reconciliation Act of 1985 (COBRA)

A

one part mandates that employers allow for the continuation of employee health care insurance after termination of employment
(The government requires they have to provide insurance, but the employer DOES NOT have to pay for it)

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6
Q

Labor-Management Reporting and Disclosure Act of 1959 (Landrum-Griffin Act)

A

deals with the relationship between a union and its members

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7
Q

Employee Polygraph Protection Act

A

bars most employers from subjecting employees to polygraph testing except in specified circumstances

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8
Q

Family and Medical Leave Act (FMLA)

A

applies to employers of 50 or more employees; requires employers to allow up to 12 weeks of unpaid, job-protected leave to eligible employees for the birth or adoption of a child or for the serious illness of the employee or a spouse, child, or parent

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9
Q

Worker Adjustment and Retraining Notification Act (WARN)

A

requires that employers give employees early warning of upcoming layoffs or plant closings

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10
Q

Uniformed Services Employment and Reemployment Rights Act

A

allows for certain persons who serve in the armed forces (regular or reserve) the right to reemployment with the employer they were with when they entered service

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11
Q

Americans with Disabilities Act (ADA) (2007)

A

HAS 4 PARTS:

  1. communications provisions
  2. employment provisions
  3. public accommodations
  4. transportation (also four parts: communications, employment, public accommodations, transportation)
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12
Q

Davis-Bacon Act, McNamara-O’Hara Service Contract Act, Walsh-Healey Public Contracts Act

A

are related to wages and benefits for construction workers who work on building projects of organizations who have government contracts, grants, or financial aid

(If you are receiving a government funded reimbursement – you can’t run out on an employer you are planning to have build something)

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13
Q

Securities Act of 1933

A

applies to for-profit corporations whose stock is publicly traded

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14
Q

Sarbanes-Oxley Act of 2002

A

corporate disclosure and financial reporting reform in publicly traded corporations. Sarbames-Oxley was put into place to address the corporate scandals of Enron, Arthur Anderson, and Worldcom. They basically defrauded investors and employees by falsifying accounting documents.

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15
Q

Federal Food, Drug, and Cosmetic Act

A

regulates such things as definitions, standards, packaging, and labeling for food, food supplements, drugs, medical devices, and cosmetics

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16
Q

Public Health Services Act of 1944

A

regulation examples include efficiency of health care and regulation of biological materials, laboratories, blood banks, and mammogram facilities

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17
Q

Best Pharmaceuticals for Children Act

A

improves the safety and efficacy of pharmaceuticals for children

18
Q

Controlled Substances Act

A

controls and sets standards and schedules for all controlled substances

19
Q

Dietary Supplement Health and Education Act of 1994

A

establishes standards for the labeling and safety of dietary supplements

20
Q

Public Health Security and Bioterrorism Preparedness and Response Act of 2002

A

addresses national preparedness for bioterrorism and other public health emergencies

21
Q

Project BioShield Act of 2004

A

provides protections and countermeasures against terrorist chemical, radiological, or nuclear attacks

22
Q

National Environmental Policy Act of 1969 (NEPA)

A

establishes national policy to encourage productive and enjoyable harmony between man and his environment

23
Q

Emergency Planning & Community Right-To-Know Act (EPCRA), also known as Title III of the Superfund Amendments and Reauthorization Act (SARA)

A

legislation on community safety to help local communities protect the public and environment from chemical hazards
(You can’t take blood and flush down the drain, or throw medical wastes in the trash = NEED to dispose of properly)

24
Q

Pollution Prevention Act (PPA)

A

regulates pollution issues related to medical waste tracking and disposal

25
Q

Medical Waste Tracking Act (MWTA) of 1989

A

requires the Environmental Protection Agency to disseminate rules on the management of infectious waste

26
Q

Social Security Act

A

established three health care insurance programs to guarantee access to health care for the young, the elderly, and the poor:
(Administered by the Centers for Medicare and Medicaid Services [CMS])

27
Q

Medicare provides health insurance to:

A
  • those age 65 or older
  • those under age 65 with certain disabilities
  • everyone with end-stage renal disease requiring dialysis or a kidney transplant
    (- hospital insurance (Part A)
  • doctors insurance (extra fee, Part B))
28
Q

Medicaid

A
  • Health insurance program for certain low-income people

- Funded and administered jointly by a state-federal government partnership

29
Q

Medicaid must cover at least:

A
  • Inpatient and outpatient hospital services
  • Laboratory and x-ray services
  • Skilled nursing and home health services
  • Doctors’ services
  • Family planning
  • Periodic health checkups
  • Diagnosis and treatment for children
30
Q

SCHIP

A

designed to help states expand health care coverage to uninsured children to at least include:

  1. Inpatient and outpatient hospital services
  2. Surgical and medical services
  3. Laboratory and x-ray services
  4. Well baby/child care, including immunizations
31
Q

HIPAA

A
  • Health Insurance Portability and Accountability Act
  • has 5 parts
  • Titles I and II are most relevant to PT
32
Q

HIPAA Title I

A

Health Care Portability, and Renewability

- Protects health insurance coverage for workers and their families when they change or lose their job

33
Q

HIPPA Title II

A

Preventing Health Care Fraud and Abuse, Administrative Simplification, and Medical Liability Reform

  • To reduce the costs and administrative burdens by setting requirements for providers and health care organizations for:
    1. Security of electronic health information
    2. Standards for the electronic transactions and code sets for electronic health information
    3. Privacy of personal health information (PHI)
34
Q

HIPPA Title II standards for privacy of PHI are

A
  • written procedures for who has access to PHI, how it will be used, and when PHI would/would not be disclosed
  • a designated privacy officer
  • inquiry and grievance processes for patients
  • ensure business associates protect PHI
  • training for employees on privacy procedures
35
Q

Freedom of Information Act (FOIA)

A

broadens access to certain types of government-generated information

36
Q

Disadvantaged Minority Health Improvement Act

A

provides assistance to develop programs to provide bilingual or interpreter services to people with limited English proficiency

37
Q

Omnibus Budget Reconciliation Act of 1989 (OBRA)

A

regulates physician self-referral
- Prohibits physicians from referring Medicare patients for certain designated health services to an entity the physician or an immediate family member has a financial relationship with unless an exception applies

38
Q

Omnibus Budget Reconciliation Act of 1993 (Stark II)

A

expanded physical self-referral areas to include:

  • Home health services
  • Inpatient and outpatient hospital services
  • Occupational therapy
  • Physical therapy
39
Q

Federal False Claims Act

A

combats health care fraud and abuse by providing for triple damages and mandatory fines of $5,000 to $10,000 per claim that can total millions of dollars

40
Q

Noncompliance with Medicare/Medicaid coverage and reimbursement guidelines represents substantial risk to the health care provider and sanctions can include:

A
  • Recouping improper payments
  • Imprisonment for owners and managers
  • Exclusion from future participation in these programs
41
Q

Elements of a health services business CCP are:

A
  • Organization structure for the program
  • Operational mechanisms to implement the program
  • Infrastructure to assure corporate compliance officer’s power to implement CCP program
  • Measures to prevent violations
  • Measures to respond to violations

Management and Administration (4 decks)

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